NPI | 1982059994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9343086) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9343086) |
Enumeration Date | 2016-04-27 |
Last Update Date | 2023-04-11 |